Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Benjamin Chad Cannon, CPRS

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1275205437

Mr. Benjamin Chad Cannon, CPRS is an Addiction Medicine (Internal Medicine) Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

2408 Susannah St
Johnson City, TN 37601-1732
Phone: (423) 434-6677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence L000000027637 (TN)

Record details

NPI number1275205437
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRS
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESOctober 5, 2021
Certification dateSeptember 21, 2021
Mailing address2424 E Lakeview Dr, Johnson City, TN 37601-1866

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